NPI 1003787078

Shanaium Wilson

Practitioner Driver Birmingham, AL

Practice location

Address: 5062 Nicholas Dr, Birmingham, AL 35215-4062
Phone: (205) 223-7418

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 6397991 (AL)

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Registry record

NPI: 1003787078
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2025
Record last updated: 15 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.